速度向量成像技术对慢性肺动脉血栓栓塞症患者右室功能的评价.DOCVIP

速度向量成像技术对慢性肺动脉血栓栓塞症患者右室功能的评价 邹晓黎1 大连市友谊医院超声科 鹿麟 大连医科大学附属二院超声科 通讯地址：辽宁省大连市沙河口区中山路467号大连医科大学附属二院超声科 邮编116023孙妍2 阜外心血管病医院门诊超声科 车秀媛3 大连市友谊医院超声科 摘要 目的 应用速度向量成像(velocity vector imagine,VVI)技术对慢性肺动脉血栓栓塞症患者的右室局部及整体功能进行评价。 方法 心尖四腔切面应用彩色多普勒超声根据三尖瓣最大返流速度计算出肺动脉收缩压，将慢性肺动脉血栓栓塞症病人分为轻、中及重度肺动脉高压组及无肺动脉高压组，同时应用VVI技术评价不同肺动脉收缩压组慢性肺动脉血栓栓塞症患者右室游离壁各节段（基底段、中间段及心尖段）、室间隔各节段（基底段、中间段及心尖段）以及右室整体的纵向收缩期峰值速度(Vs，cm/s)、位移（D，mm），应变(S)以及应变率(SR，s-1)，并与正常对照组进行比较。 结果 不同肺动脉收缩压组慢性肺动脉血栓栓塞症患者右室侧壁和室间隔各节段（基底段、中间段及心尖段）纵向收缩期峰值速度、位移、应变以及应变率明显低于正常对照组，不同肺动脉收缩压组慢性肺动脉血栓栓塞症患者右室整体的纵向收缩期峰值速度、位移、应变、应变率明显低于正常对照组，其中肺动脉收缩压分级越高，上述指标越低。 结论 速度向量成像技术评估慢性肺动脉血栓栓塞症患者右室整体及局部功能异常方面具有优越性。 关键词 超声心动图 速度向量成像 慢性肺动脉栓塞 肺动脉高压 Quantitative Assessment of right ventricle of chronic pulmonary thromboembolism with echocardiographic Velocity Vector Imaging Xiaoli Zou1, Ultrasound Department of Dalian Municipal Friendship Hospital Lin Lu, Ultrasound Department of Second Affiliated Hospital of Dalian Medical University Address: No.467, Zhongshan Road, Shahekou District, Dalian,Liaoning Province,Zip:116023 Yan Sun2, Ultrasound Department of National Center for Cardiovascular Diseases China (Fuwai Hospital) Xiuyuan Che3, Ultrasound Department of Dalian Municipal Friendship Hospital Objective Using Velocity Vector Imaging (VVI) to quantitatively assess partial and overall right ventricular function in patients of chronic pulmonary thromboembolism. Methods Two-dimensional echocardiographic images from the standard apical four chamber were analyzed.Pulmonary artery systolic pressure was calculated according to tricuspid maximal regurgitant velocity in Color Doppler ultrasound. Patients with chronic pulmonary thromboembolism were divided into mild, moderate and severe pulmonary hypertension group and non pulmonary hypertension group.Longitudinal systolic myocardial velocity(Vs)，displacement (D),strain(S)，and strain rate(SR) were determined at the basal，mid and apical segments of the right lateral ventricular wall and ventricular septum in patients of ch